V. Akimkin, N. G. Davydova, S. Ugleva, Z. Ponezheva, S. Shabalina
{"title":"Infectious Morbidity in Closed Long-Term Care Facilities in the «Pre-COVID Stage»","authors":"V. Akimkin, N. G. Davydova, S. Ugleva, Z. Ponezheva, S. Shabalina","doi":"10.31631/2073-3046-2023-22-2-107-116","DOIUrl":null,"url":null,"abstract":"Relevance. Elderly people have become the fastest growing segment of the global population over the past few decades. The number of people over the working age in Russia, and with them citizens living in closed long-term care facilities (CLTFS), is growing. Residents of these organizations belong to the risk group, and CLTFS have a number of characteristics that turn these institutions into a unique environment for the spread of infectious diseases.Aims. To analyze the CLTFS residents infectious morbidity in the \"pre-covid stage\" (according to literature sources). A scientific review of research in Russian and English using information portals and platforms has been carried out eLIBRARY. ru , Web of Science, PubMed, Google Academy and Scopus for the period 1981-2022. The search was carried out by keywords. Information about the most frequent infectious diseases affecting residents of closed long-term care institutions was the criterion for inclusion in the sample of publications. Out of 16171 initially identified articles, 61 publications were selected after initial analysis.Conclusions. According to various estimates, the leading infectious diseases in CLTFS were: acute respiratory infections, pneumonia, urinary tract infections, skin and mucous infections, acute intestinal infections. The article describes pathogens and their prevalence in CLTFS including pathogens with multiple drug resistance (MDR), describes the resistance of bacteria to antimicrobial drugs formation problem in these organizations, as well as development of certain diseases risk factors. Studies conducted in various CLTFS in Europe, Russia, the USA, and Asia indicate a high prevalence of infectious diseases among their residents, high colonization of residents with antimicrobial-resistant pathogens, as well as the infection transmission probability from the CLTFS and its spread to other long-term care institutions and medical and preventive organizations.","PeriodicalId":11736,"journal":{"name":"Epidemiology and Vaccinal Prevention","volume":"42 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Epidemiology and Vaccinal Prevention","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.31631/2073-3046-2023-22-2-107-116","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Relevance. Elderly people have become the fastest growing segment of the global population over the past few decades. The number of people over the working age in Russia, and with them citizens living in closed long-term care facilities (CLTFS), is growing. Residents of these organizations belong to the risk group, and CLTFS have a number of characteristics that turn these institutions into a unique environment for the spread of infectious diseases.Aims. To analyze the CLTFS residents infectious morbidity in the "pre-covid stage" (according to literature sources). A scientific review of research in Russian and English using information portals and platforms has been carried out eLIBRARY. ru , Web of Science, PubMed, Google Academy and Scopus for the period 1981-2022. The search was carried out by keywords. Information about the most frequent infectious diseases affecting residents of closed long-term care institutions was the criterion for inclusion in the sample of publications. Out of 16171 initially identified articles, 61 publications were selected after initial analysis.Conclusions. According to various estimates, the leading infectious diseases in CLTFS were: acute respiratory infections, pneumonia, urinary tract infections, skin and mucous infections, acute intestinal infections. The article describes pathogens and their prevalence in CLTFS including pathogens with multiple drug resistance (MDR), describes the resistance of bacteria to antimicrobial drugs formation problem in these organizations, as well as development of certain diseases risk factors. Studies conducted in various CLTFS in Europe, Russia, the USA, and Asia indicate a high prevalence of infectious diseases among their residents, high colonization of residents with antimicrobial-resistant pathogens, as well as the infection transmission probability from the CLTFS and its spread to other long-term care institutions and medical and preventive organizations.
的相关性。在过去的几十年里,老年人已经成为全球人口中增长最快的一部分。俄罗斯超过工作年龄的人口以及与他们一起生活在封闭长期护理设施(CLTFS)中的公民人数正在增加。这些机构的居民属于危险群体,CLTFS有许多特点,使这些机构成为传染病传播的独特环境。分析CLTFS居民“前covid阶段”的感染发病率(根据文献来源)。利用信息门户和平台对俄语和英语研究进行了科学回顾。1981年至2022年期间,Web of Science, PubMed, Google Academy和Scopus。搜索是按关键词进行的。关于影响封闭长期护理机构居民的最常见传染病的信息是纳入出版物样本的标准。在最初确定的16171篇文章中,经过初步分析,选择了61篇出版物。根据各种估计,CLTFS的主要传染病是:急性呼吸道感染、肺炎、尿路感染、皮肤和粘膜感染、急性肠道感染。本文描述了CLTFS中的病原体及其流行情况,包括多重耐药病原体(MDR),描述了这些组织中细菌对抗菌药物的耐药性形成问题,以及某些疾病危险因素的发展。在欧洲、俄罗斯、美国和亚洲的各个CLTFS中进行的研究表明,其居民中传染病的流行率很高,具有抗菌素耐药性病原体的居民的定殖率很高,以及CLTFS的感染传播概率及其向其他长期护理机构和医疗和预防组织的传播。